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THE SEMBLER COMPANY 401(K) PLAN 401k Plan overview

Plan NameTHE SEMBLER COMPANY 401(K) PLAN
Plan identification number 001

THE SEMBLER COMPANY 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THE SEMBLER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE SEMBLER COMPANY
Employer identification number (EIN):592410449
NAIC Classification:531390
NAIC Description:Other Activities Related to Real Estate

Additional information about THE SEMBLER COMPANY

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1984-03-13
Company Identification Number: G91165
Legal Registered Office Address: 5858 CENTRAL AVE.

ST. PETERSBURG

33707

More information about THE SEMBLER COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE SEMBLER COMPANY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01SEAN DAVIS2022-09-19
0012020-01-01LAURIE CABLE2021-04-07
0012019-01-01LAURIE CABLE2020-04-02
0012018-01-01LAURIE CABLE2019-03-26
0012017-01-01LAURIE CABLE2018-04-30
0012016-01-01MEREDITH HOFFMAN2017-04-04
0012015-01-01MEREDITH HOFFMAN2016-03-04
0012014-01-01MEREDITH HOFFMAN2015-07-07
0012013-01-01MEREDITH HOFFMAN
0012012-01-01MEREDITH HOFFMAN
0012011-01-01JACKIE ALVAREZ
0012010-01-01JACKIE ALVAREZ
0012009-01-01MEREDITH HOFFMAN

Plan Statistics for THE SEMBLER COMPANY 401(K) PLAN

401k plan membership statisitcs for THE SEMBLER COMPANY 401(K) PLAN

Measure Date Value
2013: THE SEMBLER COMPANY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01100
Total number of active participants reported on line 7a of the Form 55002013-01-0153
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0140
Total of all active and inactive participants2013-01-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0193
Number of participants with account balances2013-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: THE SEMBLER COMPANY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01110
Total number of active participants reported on line 7a of the Form 55002012-01-0159
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0141
Total of all active and inactive participants2012-01-01100
Total participants2012-01-01100
Number of participants with account balances2012-01-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: THE SEMBLER COMPANY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01117
Total number of active participants reported on line 7a of the Form 55002011-01-0166
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0144
Total of all active and inactive participants2011-01-01110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01110
Number of participants with account balances2011-01-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: THE SEMBLER COMPANY 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01138
Total number of active participants reported on line 7a of the Form 55002010-01-0171
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0146
Total of all active and inactive participants2010-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01117
Number of participants with account balances2010-01-01105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011
2009: THE SEMBLER COMPANY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01163
Total number of active participants reported on line 7a of the Form 55002009-01-0187
Number of other retired or separated participants entitled to future benefits2009-01-0151
Total of all active and inactive participants2009-01-01138
Total participants2009-01-01138
Number of participants with account balances2009-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-018

Financial Data on THE SEMBLER COMPANY 401(K) PLAN

Measure Date Value
2013 : THE SEMBLER COMPANY 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,751,766
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$671,344
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$669,829
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$376,961
Value of total assets at end of year2013-12-31$7,736,774
Value of total assets at beginning of year2013-12-31$6,656,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,515
Total interest from all sources2013-12-31$3,267
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$343,541
Participant contributions at end of year2013-12-31$76,285
Participant contributions at beginning of year2013-12-31$137,198
Administrative expenses (other) incurred2013-12-31$1,515
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,080,422
Value of net assets at end of year (total assets less liabilities)2013-12-31$7,736,774
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,656,352
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$7,644,767
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$5,618,489
Interest on participant loans2013-12-31$3,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$15,722
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$900,665
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$900,665
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,142,943
Net investment gain/loss from pooled separate accounts2013-12-31$228,595
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$33,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$669,829
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2013-12-31591687531
2012 : THE SEMBLER COMPANY 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$1,141,300
Total of all expenses incurred2012-12-31$627,143
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$626,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$422,024
Value of total assets at end of year2012-12-31$6,656,352
Value of total assets at beginning of year2012-12-31$6,142,195
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$605
Total interest from all sources2012-12-31$4,710
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$130,191
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$130,191
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$383,752
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,233
Assets. Loans (other than to participants) at end of year2012-12-31$137,198
Assets. Loans (other than to participants) at beginning of year2012-12-31$82,839
Administrative expenses (other) incurred2012-12-31$605
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$514,157
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,656,352
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,142,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$5,618,489
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$6,059,356
Interest on participant loans2012-12-31$4,710
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$900,665
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$584,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$37,039
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$626,538
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2012-12-31591687531
2011 : THE SEMBLER COMPANY 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$146,576
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$198,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$196,575
Expenses. Certain deemed distributions of participant loans2011-12-31$701
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$390,974
Value of total assets at end of year2011-12-31$6,142,195
Value of total assets at beginning of year2011-12-31$6,194,295
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,400
Total interest from all sources2011-12-31$5,743
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$127,143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$127,143
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$390,974
Participant contributions at end of year2011-12-31$82,839
Participant contributions at beginning of year2011-12-31$95,468
Administrative expenses (other) incurred2011-12-31$1,400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-52,100
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,142,195
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,194,295
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$6,059,356
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,098,827
Interest on participant loans2011-12-31$5,743
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-377,284
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$196,575
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2011-12-31591687531
2010 : THE SEMBLER COMPANY 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,126,607
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$634,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$619,064
Expenses. Certain deemed distributions of participant loans2010-12-31$13,361
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$359,312
Value of total assets at end of year2010-12-31$6,194,295
Value of total assets at beginning of year2010-12-31$5,701,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,725
Total interest from all sources2010-12-31$6,281
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$64,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$64,521
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$359,312
Participant contributions at end of year2010-12-31$95,468
Participant contributions at beginning of year2010-12-31$110,733
Other income not declared elsewhere2010-12-31$29
Administrative expenses (other) incurred2010-12-31$1,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$492,457
Value of net assets at end of year (total assets less liabilities)2010-12-31$6,194,295
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,701,838
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$6,098,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$5,591,105
Interest on participant loans2010-12-31$6,281
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$696,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$619,064
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PDR CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2010-12-31591687531

Form 5500 Responses for THE SEMBLER COMPANY 401(K) PLAN

2013: THE SEMBLER COMPANY 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE SEMBLER COMPANY 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE SEMBLER COMPANY 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: THE SEMBLER COMPANY 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THE SEMBLER COMPANY 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number111465
Policy instance 1
Insurance contract or identification number111465
Number of Individuals Covered94
Insurance policy start date2013-11-15
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,113
Total amount of fees paid to insurance companyUSD $75
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $20,113
Insurance broker organization code?3
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameJOHN HANCOCK RPS LLC

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